HomeMy WebLinkAboutCC Resolution 10903 (Street Resurfacing 2000-2001)RESOLUTION NO. 10903
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN
RAFAEL AWARDING CONTRACT FOR STREET RESURFACING
2000/2001 TO GHILOTTI BROS., INC. IN THE AMOUNT OF
$914,887.62
WHEREAS, on the 13`h day of August, 2001, pursuant to due and legal
notice published in the manner provided by law, inviting sealed bids or proposals for the
work hereinafter mentioned, as more fully appears from the Affidavit of Publication
thereof on file in the office of the City Clerk of the City of San Rafael, California, the City
Clerk of said City did publicly open, examine, and declare all sealed bids or proposals for
doing the following work in said City, to wit:
"STREET RESURFACING 2000/2001"
PROJECT NO. 006-4069-642-8000
And 006-4069-721-8000
in accordance with the plans and specifications therefor on file in the office of said City
Clerk; and
WHEREAS, the bid of Ghilotti Bros., Inc. at the unit prices stated in its
bid was and is the lowest and best bid for said work and said bidder is the lowest
responsible bidder therefor;
NOW, THEREFORE, BE IT RESOLVED that the bid of Ghilotti Bros.,
Inc. and the same is hereby accepted at said unit prices and that the contract for said work
���� Ll 0a03
and improvements be and the same is hereby awarded to said Ghilotti Bros., Inc. at the
unit prices mentioned in said bid.
BE IT FURTHER RESOLVED that the Mayor and the City Clerk of said
City be authorized and directed to execute a contract with Ghilotti Bros., Inc. for said
work and to return the bidders bond upon the execution of said contract.
BE IT FURTHER RESOLVED that the Director of Public Works is
hereby authorized to take any and all such actions and make changes as may be necessary
to accomplish the purpose of this resolution.
I, JEANNE M. LEONCINI, Clerk of the City of San Rafael, hereby
certify that the foregoing resolution was duly and regularly introduced and adopted at a
regular meeting of the Council of said City on Monday, the 201h day of August, 2001, by
the following vote, to wit:
AYES: COUNCILMENIBERS: Cohen, Heller, Miller and Mayor Boro
NOES: COUNCILMEMBERS: (done
ABSENT: COUNCILMEMBERS: Phillips
JEAI'QN1E M. LEONCINI, City Clerk
File No.: 16.06.53
U
Y
O
U_
Z
O
4-
O
a)
if
(B
Q.
O
0
4-
(0
ry
C
f4
CO
4--
O
oCCO�noCoo00o00001n
oCC?C cC�-:) n0o00o�00�
0 o cc r-� In rr1 Ln o x o 0 o Ln o o r
O r CT 1.0 In N P N V' 7 00 -n 7 V' 00 O v',
o vi rl rl r1 -7 00 0o M -S In - rri vi 7 00 r
O N - N M - M - V
O O O O Vl 0 0 0 vl O O O O O C O
sA oo�noMov-,orv-,000000
F. Lj o = to rvnC�COC W1o0
O r - N N N- 7 7 \J' 00 O
z U o - M N r 0
O ce 0 7 - 00
.L N N -
O to O O �n O O O O o C C o C O O c
cs3 OrooccOooOCCooCCr,c
o -r c,-7oc,00r 00000a,c
O o- 7 V1 0 0 7 N C O V o0 00 -T --
L_7 O lc� ri c n ri - rr! N N v'i 01 lc �R N
(-- O n r 7 N1 M r r 00 C r1 - 7 to 7 M Mj
F
-r.-
7 - - �O - M vl O
O -n O O In 0 0 0 o C C C O C C C
69 O N In (= r" I O O O O O C r1 0 C C In
(-. L...1 O CT '7 r- OM C 00 - C r�) O C C CT
O 7 ' N - C o 00 00 '7
z U o �n o M N r �R
O v C r'1
'n
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
va 0000�n00000000000lr,
� oc�ricvioc�000000000ri
QoN-�-ooN�n-�M000v�oo�
E--. O N 7 V w) w) r �n M M N M- rel �n'7 - V'
C o C C C o 0 0 0 0 0 0 0 0 0 0
csa CCCC�nCC000000000
�. Ld O O\ M r- C O O rM O O rI O O O O
C, v) rl O rl - O - �n �n O O
z U O C NcV M N 00 O
Crl r - -
C N N 7
O O O O N O O O O O O O O O O O N
69 O O O O �O O O O O O O O O O O O V
r ri 6 0 4 0 0 wi O O\ O O O wl O O r
o- Wn r N 0 C` C rV O o C O N 00 M 00
[:.1 N 7` O O V1 W O M 00 n '7 V' r %O rl DO
�- 0000 od N- M C, 7 7 00 M 7 rV 7 7 7 `S
(D v - - G1
0 0 o C�o C C o C o 0 0 0 0 0 0
6A O O O C N C o 0 to O O N O O O O
Ld r-� 7 0- CC 0 In In r'1 0 In N N 00 M
z U N - vl N N N r N
O a, rl S
c °O
OO OOWnOOOOOOO o000kr,
'0� O O O O r O 0 0 0 0 0 0 0 0 o O r
oovivio,o10ooviovi0000lr,
O V 00 00 00 O �' O V O` O ell o -7 O O 7
V O 01 N O` O Olc� n M r7 0 0 c O- O 01
N W) 000 00 �O 'n 'D n 7 r'1 nl vi vi ri M
F o - - - -
yq O O O O vl O O O O O O O O O O C
O O v1 O r 0 0 0 0 0 0 0 0 0 0 0
F L`] O O N ul - O rl O rl Vl O Vl O O O O
n� O O V1 N N 00 O
G V N 7
O
V
^ 7 r
V] F - �' •� CT M - V�j r1 C N N C. rl D
w O' O rl - O - - IN
r7 -
U
U ` y
o c�
U
v a v CL
d _ c
_
v e n a Z d r>7
._ i1 00 U O G C7 A C! U U
.fir y -
v,
- N M 7 V'1 L r 00 O O- N M 'S Ln V
I.UO-------
Fz
STREET RESURFACING 2000/2001 - STREETS TO BE RESURFACED
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Street
Alice St
Belle Av
Bellevue Av
Coleman Dr
Deer Park Av
Glen Av
Grove St
Highland Av
La Vista Wy
Locksly Ln
Lodge Ln
Manuel T Freitas Py Eb
Manuel T Freitas Py
Martens BI
Meyer Rd
Oak Av
Park St
Pearce Rd
Prospect Dr
San Rafael Av
Sea Wy
Southern Heights BI
Tampa Dr
Union St
Valencia Av
From
Belle Av
Mission Av
Pt San Pedro Rd
Prospect Dr
Seaview Av
Picnic Av
San Rafael Av
Jewell St
Prospect Dr
Lochinvar Rd
San Rafael Av
Las Gallinas
Overpass
Octavia St
D St
Martens Blvd
Mission Av
Southern Heights Blvd
Lincoln Av
C St
Pt San Pedro Rd
Bret Harte Rd
Coleman Dr
Mission Ave
Belle Av
To
Mission Av
Grand Av
End
Tampa Dr
Highland Av
Pearce Rd
End
Deer Park Av
End
Manderly Rd
End
Montecillo Rd
Del Presidio Blvd
Southern Heights Blvd
Southern Heights Blvd
End
Jewell St
Glen Av
Lincoln Av
Clark St
End
Martens Blvd
Coleman Dr
Jewell St
Jewell St
City of San Rafael • California AUG 5 0 211301
Form of Contract
Agreement
For
Street Resurfacing 2000/2001
This Agreement is made and entered into this 20th day of August, 2001 by and between
the City of San Rafael (hereinafter called City) and Ghilotti Bros., Inc. (hereinafter
called Contractor). Witnesseth, that the City and the Contractor, for the considerations
hereinafter named, agree as follows:
II - Scope of the Work
The Contractor hereby agrees to furnish all of the materials and all of the equipment
and labor necessary, and to perform all of the work shown on the plans and described
in the specifications for the project entitled: Street Resurfacing 2000/2001, all in
accordance with the requirements and provisions of the Contract Documents as defined
in the General Conditions which are hereby made a part of this Agreement.
III- Time of Completion
(a) The work to be performed under this Contract shall be commenced within five (5)
calendar days after the date of written notice by the City to the Contractor to
proceed.
(b) The work shall be completed within forty-five (45) working days after the date of
such notice and with such extensions of time as are provided for in the General
Conditions.
IIII - Liquidated Damages
It is agreed that, if all the work required by the contract is not finished or completed
within the number of working days as set forth in the contract, damage will be
sustained by the City, and that it is and will be impracticable and extremely difficult to
ascertain and determine the actual damage which the City will sustain in the event of
and by reason of such delay; and it is therefore agreed that the Contractor will pay to
the City, the sum of $500.00 for each and every calendar day's delay in finishing the
work in excess of the number of working days prescribed above; and the Contractor
agrees to pay said liquidated damages herein provided for, and further agrees that the
City may deduct the amount thereof from any moneys due or that may become due the
Contractor under the contract.
IV - The Contract Sum
The City shall pay to the Contractor for the performance of the Contract the
amounts determined for the total number of each of the units of work in the
following schedule completed at the unit price stated. The number of units
contained in this schedule is approximate only, and the final payment shall be
made for the actual number of units that are incorporated in or made necessary by
the work covered by the Contract.
AGREEMENT • 1
ITEM
NO. ITEM
1 Mobilization
2 Asphalt Overlay
3 Cold Planing
4 Seating and Cracking
Concrete
5 Fabric Reinforcement
6 Thermoplastic Stripes
7 Misc. Pavement Patching
8 Asphalt Bus Pad
9 A.C. Berm/Dike
10 Handformed AC Berm
11 Install Speed Hump
12 Raised Reflective Markers
13 Adj. MH Casting
14 Adj. RH & Monument Cast
15 Traffic Loops
16 Traffic Control
EST
UNIT
UNIT
ITEM
QTY
PRICE, $
TOTAL, $
1
LS
80,267.00
80,267.00
10,931
TON
52.00
568,412.00
32,114
SY
4.00
128,456.00
197
SY
10.00
1,970.00
10,337
SY
1.26
13,024.62
1
LS
19,500.00
19,500.00
1,563
SY
30.00
46,890.00
65
SY
63.00
4,095.00
1,280
LF
6.50
8,320.00
293
LF
13.00
3,809.00
2
EA
2,250.00
4,500.00
125
EA
3.20
400.00
96
EA
225.00
21,600.00
21
EA
225.00
4,725.00
6
EA
780.00
4,680.00
1
LS
4,239.00
4,239.00
Grand Total
$914,887.62
V - Progress Payments
(a). On not later than the 6th day of every month the Public Works Department shall
prepare and submit an estimate covering the total quantities under each item of
work that have been completed from the start of the job up to and including the
25th day of the preceding month, and the value of the work so completed
determined in accordance with the schedule of unit prices for such items together
with such supporting evidence as may be required by the City and/or Contractor .
(b). On not later than the 15th day of the month, the City shall, after deducting previous
payments made, pay to the Contractor 90% of the amount of the estimate as
approved by the Public Works Department.
(c). Final payment of all moneys due shall be made within 15 days after the expiration of
35 days following the filing of the notice of completion and acceptance of the work by
the Public Works Department.
(d). The Contractor may elect to receive 100% of payments due under the contract from
time to time, without retention of any portion of the payment by the public agency,
by depositing securities of equivalent value with the public agency in accordance
with the provisions of Section 4590 of the Government Code. Such securities, if
deposited by the Contractr, shall be valued by the City's Finance Director, whose
decision on valuation of the securities shall be final.
VI - Acceptance and Final Payment
(a) Upon receipt of written notice that the work is ready for final inspection and
acceptance, the Engineer shall within 5 days make such inspection, and when he
finds the work acceptable under the Contract and the Contract fully performed, he
will promptly issue a Notice of Completion, over his own signature, stating that the
work required by this Contract has been completed and is accepted by him under
the terms and conditions thereof, and the entire balance found to be due the
AGREEMENT • 2
Contractor, including the retained percentage, shall be paid to the Contractor by
the City within 15 days after the expiration of 35 days following the date of
recordation of said Notice of Completion.
(b) Before final payment is due the Contractor shall submit evidence satisfactory to the
Engineer that all payrolls, material bills, and other indebtedness connected with
work have been paid, except that in case of disputed indebtedness or liens the
Contractor may submit in lieu of evidence of payment a surety bond satisfactory to
the City guaranteeing payment of all such disputed amounts when adjudicated in
cases where such payment has not already been guaranteed by surety bond.
(c) The making and acceptance of the final payment shall constitute a waiver of all
claims by the City, other than those arising from any of the following: (1) unsettled
liens; (2) faulty work appearing within 12 months after final payment; (3)
requirements of the specifications; or (4) manufacturers' guarantees. It shall also
constitute a waiver of all claims by the Contractor, except those previously made
and still unsettled.
(d) If after the work has been substantially completed, full completion thereof is
materially delayed through no fault of the Contractor, and the Engineer so certifies,
the City shall, upon certificate of the Engineer, and without terminating the
Contract, make payment of the balance due for that portion of the work fully
completed and accepted.
Such payment shall be made under the terms and conditions governing final payment,
except that it shall not constitute a waiver of claims.
IN WITNESS WHEREOF, City and Contractor have caused their authorized
representatives to execute this Agreement the day and year first written above.
ATTEST: CITY OFISPI4 RAFAEL:
A-
JcWnne M. Leoncini le1Ko
City Clerk Mayor
99 i
APP .bY% Q FORM: GHILOTTI BROS., INC.:
City
for
AGREEMENT • 3
CONTRACTOR'S BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
FOR FAITHFUL PERFORMANCE Hartford, Connecticut 06183
BOND NO. 005SB103619508BCM
BOND EXECUTED IN TRIPLICATE PREMIUM• $5,398.00
KNOW ALL MEN BY THESE PRESENTS:
That we, GHILOTTI BROS . , INC.
as Principal, and TRAVELERS, CASUALTY AND SURETY COMPANY OF AMERICA, a corporation organized
under the laws of the State of Connecticut and duly authorized under the laws of the State of California to become
sole surety on bonds and undertakings, as Surety, are held and firmly bound unto CITY OF SAN RAFAEL
1400 FIFTH AVENUE, SAN RAFAEL, CALIFORNIA 94915-1560
as Obligee,
in the full and just sum of NINE HUNDRED FOURTEEN THOUSAND EIGHT HUNDRED EIGHTY SEVEN
AND 62/100THS --------------------------------------------
Dollars, ($ 914, 887. 62 ), lawful money of the United States of America, to be paid to the said Obligee,
successors or assigns; for which payment, well and truly to be made, we bind ourselves, our heirs, executors,
successors, administrators and assigns, jointly and severally, firmly by these presents.
Sealed with our seals and dated this 28TH day of AUGUST . 2001
THE CONDITION OF THE ABOVE OBLIGATION is such that whereas the said Principal has entered into a
contract oris about to enter into a contract with the said Obligee for STREET RESURFACING 2000/2001
PROJECT NOS. 006-4069-642-8000
006-4069-721-8000
as is more specifically set forth in said contract, to which contract reference is hereby made.
NOW, THEREFORE, if the said Principal shall well and truly do the said work, and fulfill each and every of the
covenants, conditions and requirements of the said contract in accordance with the plans and specifications, then
the above obligation to be void, otherwise to remain in full force and virtue.
GHILOTTI BROS., INC.
By:
MICHAEL M. / GHkLOTTI, CO-OWNER
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
By
KELLY HOLTEMANN Attorney -in -Fact
S-2359-1 (07-97)
CALIFORNIA ALL-FURPOrr ACKNOWLEDGMENT No. 5907
�rr�r rr/r�irr i --r irr -rir rr .— r r i r r r - i i r r-------
i State of 0AIS` FdUA
I
iCounty of SONOMA
pn AUGUST 28TH, 2001 before me, BONNIE S. FP -Y=, NCLARY F=0
DATE NAME, TITLE OF OFFICER - EG., JANE DOE, NOTARY PUSUC-
personally appeared ALX HCLI0MANN
NAME(9) OF SIGNER(S)
® personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence
1 to be the person(;.) whose nameM ism
subscribed to the within instrument and ac-
knowledged. -to me that lshe4duq;�.executed
the same. in )=her/2KM authorized
i capacityl j, and that by KW. her/,'TW
signature(1) on the instrument the person(,
1
OFFICIAL SEAL -1217287 I or the entity upon behalf of which the
BONNIE K. FRYMIRE Z
NOTARYPUBLIC- CALIF. person( acted, executed the instrument.
i
i
1
1
1
1
z
Z COUNTY OF SONOMA
L My Comm. Exp. April 28, 20031
uU TNESS.my hand and official seal.
SIGNATURE OFirJOT Y
,. 111 . ii...l.. fl . I I i . III — 1..1411 1141. .. ..a OPTIONAL 141 I I i I. I-, II .I i. 111 o I... i I .. III .I .
1 Though the data below Is not required by law, it may prove valuable to persons relying on the document and could prevent
1 fraudulent reattachment of this form.
l
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
i; ❑ INDIVIDUAL
j ❑ CORPORATE OFFICER
FAITHFUL PERFORMANCE BOND
- TITLE OR TYPE OF DOCUMENT
7TrLE(S)
1
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
X D ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIANICONSERVATOR
1 ❑ OTHER-
i
1
SIGNER IS REPRESENTING:
iNAME OF PERSONS) OR EiV7 "IM
TRAVELERS CASUALTY AND SURETY
1 COMPANY OF AMERICA
ONE
NUMBER OF PAGES
AUGUST 28TH, 2001
DATE OF DOCUMENT
NIS
S)GNER(S) OTHER THAN NAMED ABOVE
t
�rrr� r �rr',s r'J. T�f7!.'f �. r._ �l�'l�►�'^�-�^�"����1�1^.^, �� r.�:
I
01923 NATIONAL NOTARY ASSOCIATION - 6236 Rernmet Ave-, P.O. Box 7184 - Canoga Park. CA 91309-7184
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT Ne.b8o7
ii — —i — — — — — —i—i—.-ri--------ii----- �.��ri�.�r✓�i�-sir �.-�.i r•i�r,.��S�
t
1.
State of C;_41 'OIff1T4 i
County of ' SQNQMMA
On AUGUST 28TH, 2001 before me,�"' K. �jCM'QRYT rC
DATE '
NAME, Tm.E OF OFFICER - E -G., -JANE DOE, NgrARY PUS=
personally appeared MICHAEL M. r -TT -17 i
NAMES) OF SIGNER(9)
C personally known to me - OR - proved to me on -the basis of satisfactory evidence
to be the person( whose named is/Em
subscribed to the within instrument and ac- i
kncwledged to me that he/tm6bM executed i
the same in his/1&wL authorized
capaci-ty-(, and that by his/±p"4j
s•i-an-a-ture(m). en. the i-natrument th.e. person-(k)r j
I
OFFICIAL SEAL - 1217287 or the entity upon behalf of which the �
r BONNIE K. FRYMIRE Z
0erson* acted, executed the instrument. i
E ' NOTARY PUBLIC - CALIF. p
Z COUNTY OF SONOMA
I ` •_••' My Comm. Exp. April 28,200 t
4o 1 :. P-11 -P 11 WI MESS my hand and official seal.
U C
SIGNATURE OF:7
dJYIIPtLii JL.iliiiArl..nLldllifHiili.im1111I.aNi4,.,ull.fulaf l...Y-IIIY'i iuiL.l -a 11 .i•,Ili.11 i.AJCYiY
OPTIONAL .
u4uI..F.11 .Illlil lllulr iiirlfirfirl Illi{ulLJill..lrJ.ral-a..ur:. .ulnoilun.f.i..y
Though the data below is not required bylaw, It may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this form.
GAPAGITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE OFFICER
TrrLE(s)
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
❑ AI i ORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
> OTHER: CO-OWNER
SIGNER IS REPRESEN T ING:
NAME OF PERSON(S) OR ENMITY(IES) .
GRIT rnR*>1T EROS . , INC.
- - --�-�-�---�-�-•_-..... Lam..,,.,...: � � .:.: s_�.. r.:
DESCRIPTION OF ATTACHED DOCUMENT
FAITHFUL PERFORMANCE BOND
TITLE OR TYPE OF DOCUMENT
ONE
NUMBER OF PAGES
AUGUST 28TH, 2001
DATE OF DOCUMENT
NAS
SIGNER(S) 07HER THAN NAMED ABOVE
------------
01993 NATIONAL NOTARY ASSOCIATION • 9236 Rommel Ave.. P.O, Box 71134 -Canoga Palk, CA 91309-7194
PAYMENT BOND - PUBLIC WORK
SECTIONS 3247 - 3252, CIVI' ODE
(CALIFORNIA)
BOND EXECUTED IN TRIPLICATE
KNOW ALL MEN BY THESE PRESENTS:
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
Dartford, Connecticut 06183
Bond No. 005SB1 0361 9508BCM
Premium kINCLUDED IN
PERFORMANCE BOND
THAT WHEREAS, The State of California, acting by and through the CITY OF SAN RAFAEL, 1 400 FIFTH
STREET, SAN RAFAEL, CALIFORNIA 94915-1560
has awarded to GHILOTTI BROS. , INC.
as Contractor, a contract for the work described as follows: STREET RESURFACING 2000/2001
PROJECT NOS. 006-4069-642-8000
006-4069-721-8000
AND WHEREAS, Said Contractor is required to furnish a bond in connection with said contract, to secure the payment of
claims of laborers, mechanics, materialmen, and other persons as provided by law.
NOW, THEREFORE, We the undersigned Contractor and Surety are held and firmly bound unto the State of California in
the amount required by law, the sum of NINE HUNDRED FOURTEEN THOUSAND EIGHT HUNDRED **
($ 914, 887 . 62 ) Dollars, for which payment well and truly to be made we bind ourselves, our heirs, executors
and administrators, successors and assigns, jointly and severally, firmly by these presents.
**EIGHTY SEVEN AND 62/100THS -------------------------------
THE CONDITION OF THIS OBLIGATION IS SUCH,
That if said Contractors shall fail to pay (1) Any of the persons named in Civil Code Section 3181, (2) amounts due under
the Unemployment Insurance Code for work or labor performed in connection with said contract by any such claimant, or
(3) any amounts required to be deducted, withheld and paid over to the Employment Development Department from
wages of the employees of Contractor and his sub -contractors with respect to such work and labor, pursuant to Section
13020 of the Unemployment Insurance Code, then the Surety or Sureties herein will pay for the same in an aggregate
amount not exceeding the sum specified in this bond, and also in case suit is brought upon the bond, a reasonable
attorney's fee, to be fixed by the court, otherwise the above obligation shall be void.
This bond shall inure to the benefit of any of the persons named in Civil Code Section 3181 so as to give a right of action
to such persons or their assigns in any suit brought upon this bond.
This bond is executed and filed to comply with the provisions of the act of Legislature of the State of California as
designated in Civil Code, Sections 3247 - 3252 inclusive, and all amendments thereto.
IN WITNESS WHEREOF, We have hereunto set our hands and seals on this 28THday of AUGUST ,20 01 .
GHILOTTI BROS., INC...
By:
MICHAEL M. GHILOTTI, CO—OWNER
Contractor
TRAVELERS CASUALTY AND
SURETY COM PANY OF AMERICA
AF
By r
KELLY HATEMANN Attorney -in -Fact
S -2061-B (07-97)
DALIFORNIA ALL-PURPC—=- ACKNOWLEDGMENT No. 5907
' r�rrrrrrrr'rlrr �rrrrr� r,�ri �.�r�,.���ir.r�.. ---rr—ir rr r-----rrr•r rr�
YY
i State of CA==
.County of SCNOMA
On AUGUST 28TH, 2001 before me,
BOiVNT K• r"� N'Z�
PATE
NAME, TITLE OF OFFICER - E -G. JANE DOE, NOTARY PUSUC-
personally appeared =LY EOLTEMANN
'
NAME(S) OF SIGNER(S)
® personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence
to be the person(SI) ',whose nameA is,
subscribed to the within instrument and ac-
knowledged..to me that tBlsher executed
the same. in )=her1VbWff, authorized
capacity, and that by KW- her/�
signature(l) on the instrument the personA,
OFFICIAL SEAL -1217287 I
or the entity upon behalf of which the
^ ° BONNIE K.FRYMIRE Z
person*,acted, executed the instrument.
t U ® NOTARY PUBLIC - CALIF.
z COUNTY OF SONOMA
••••'' My Comm. Exp. Apri128,2003�♦
WITNESS.my hand and official seal.
StONATURE OFZNOTAAY
t
t
OPTIONAL
1 Though the data below is not required by law, It may prove valuable to persons relying on the document and could prevent
ifraudulent reattachment of this form.
t
i CAPACITY CLAIMED BY SIGNER
DESCRIPTION OF ATTACHED DOCUMENT
t
❑ INDIVIDUAL
� ❑ CORPORATE OFFICER
PAYMENT BOND
1
- TrrLE OR TYPE OF DOCUMENT
Tm.e(S)
❑ PARTNER(S) ❑ LIMITED
ONE
ElGENERAL
0 ATTORNEY-IN-FACT
NUMBER OF PAGES
t ❑ TRUSTEE(S)
1
t ❑ GUARDIAN/CONSERVATOR
❑ OTHER:
AUGUST 28TH, 2001
DATE OF DOCUMENT
1
SIGNER IS REPRESENTING:
NAME OF PERSONS) OR &MTY-(IES) NIS
kTRAVELERS CASUALTY AND SURETY SIGNER(S) OTHER THAN NAMED ABOVE
t COMPANY OF AMERICA
m1993 NATIOMAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park. CA 91309-7184
CALIFORNIA ILL-PUnPOSE ACKNOWLEMQMENT
State of C9L2FORNIA
County of . SQNDMA
On AUGUST 28TH, 2001 before me, BO= K- 7-KY1v=, ND= PU=0
DATE NAME, TIT. LEE OF OFFICER - EZ,. -JANE DOE. NOTARY PUBLh: t
personally appeared MICHAMi M. M377 T2
NAME(S) OF SIGNERS)
Mpersonally known to me - OR - proved to me on'the basis of satisfactory evidence
to be the personlm whose name*) is/
subscribed to the within instrument and ac-
knowledged to me that he/jkp-,t= executed
the same in Ns,12ti,�� authorized
capacity , and that by h1S* /1=y/ k»,�,!-
OFFICIAL SEAL- 1217287 i sign.a-tUr.9%)• e-nthe instrument th.e. person -(k)7
` BONNIE K.FRYMIRE n or the entity upon behalf of which the
NOTARY PUBLIC - CALIF. ,o person* acted, executed the instrument.
Z i : COUNTY OF SONOMA =� ,
a■ I ...• My COMM. Exp. April 28, 2003 i
WITNESS my hand and official seal.
Y
OF OT
No. 5907
n
�da.A1.... dl.11.•dli"'Amia, I-fl".1'a.. i...."... L•r....1Yut{al iw... n•Y•m W.I.;.. llu..A.u9'i� OPTIONAL
"� j IYNAL I ---
1-1-11¢Yalu..-.-1--n
Though the data below is not required by law, It may prove valuable to persons relying an the document and could prevent
fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL.
❑ CORPORATE OFFICER
Tm.E(s)
❑ PARTNER(S) ❑ L1MrMD
❑ GENERAL
❑ AI�RNEY-IN-FACT
❑ TRUSTEE(s)
❑ GUARDIA•NICONSERVATOR
OTHER C0 -MM
SIGNER IS •RF-PR-UBN T 1NG:
NAMEOFPEMON(5) OR ENTRY(IES) .
GPSI,O`�°I'I BROS .. INC.
DESCRIPTION OF ATTACHED DOCUMENT
PAYMENT BOND
TITLE OR TYPE OF DOCUMENT
ONE -
NUMBER OF PAGES
AUGUST 28TH, 2001
DATE OF DOCUMENT
WE
SIGNER(S) OTHER THAN NAMED ABOVE
01333 NATIONAL NOTARY ASSOCIATION - 8736 Rummel Ave.. P.O. Box 7184 - Canoga park, CA 91309-71,84
IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS
CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY have caused this instrument to be
signed by their Senior Vice President and their corporate seals to be hereto affixed this 11th day of December 2000,
STATE OF CONNECTICUT
} S S. Hartford
COUNTY OF HARTFORD
"\%AMWM10en QTY �N
,Fp95LgFn, yvP Ds GA6U,4�r
€a •F HARTFORD,\I HARTFORD, 0 1992 o
e CONN. a CONN. o ?� Rytttw- a
,�:��� 7y6f x �1aS d,`y • ��J
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
TRAVELERS CASUALTY AND SURETY COMPANY
FARMINGTON CASUALTY COMPANY
George W. Thompson
Senior Vice President
On this 11th day of December, 2000 before me personally came GEORGE W. THOMPSON to me known, who, being by me duly
sworn, did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, the
corporations described in and which executed the above instrument; that he/she knows the seals of said corporations; that the seals
affixed to the said instrument are such corporate seals, and that he/she executed the said instrument on behalf of the corporations by
authority of his/her office under the Standing Resolutions thereof.
r,.Tf
-�
�' Ri/BIIG f
My commission expires June 30, 2001 NotaryPublic
Marie C. Tetreault
CERTIFICATE
I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,
TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, stock corporations of
the State of Connecticut, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority
remains in full force and has not. been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set
forth in the Certificate of Authority, are now in force.
Signed and Sealed at the Home Office of the Company, in the City of Hartford, State of Connecticut. Dated this 2 8 TH day of
AUGUST $2001.
..��� ��yG gJ�,�TY�NpsG GASU,4.T
3 ,f H CuIRw lr HARTFORD. Z1'1982 �' '0
CONN,
By
Kori M. Johanson -
Assistant Secretary, Bond
aG�i)k7D CERTIFICp-E OF LIABILITY INSU�'�NC� CSR SD I DATE(MMIDD/YY)
HILO 1 08/28/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Don Ramatici Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 551 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Petaluma CA 94953
Phone:707-782-9200 Fax:707-782-9300 INSURERS AFFORDING COVERAGE
INSURED I INSURER A: Evanston Insurance Co.
INSURER B: Nationwide Mutual Insurance Co
Ghilotti Bros., Inc. INSURER C. National Union Fire Ins. of PA
525 Jacoby Street IINSURER D.
San Rafael CA 94901
I I INSURER E: State Compensation Ins. Fund
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YYI I LIMITS
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Operations of the Named Insured for the Certificate Holder.
Job: Street Resurfacing 2000/2001 Project #006-4069-642-8000 &
Project #006-4069-721-8000 GBI #01422 **See Addendum Attached
*Ten day notice would be sent on non payment.
30*XCG201011/85LF
CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SANRAF4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of San Rafael, its
Officers, Agents & Employees
Dept. of Public Works
P.O. Box 151560
San Rafael, CA 94915
I
ACORD 25-S (7/97)
DATE THEREOF, THE ISSUING INSURER WILtENBEAVOR TO MAIL 3 0 * DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BW FA+WRE:Fe Be 69 61 IA611:
OF ANY KINIII V:"7.17/.:: I:I!►NtT, i/ .Y9ll�
AUT PRESENT�Y�'J
� �"� aA/Np� 0 ORATION 1988
GENERAL LIABILITY
I EACH OCCURRENCE $1,000,000
A
X COMMERCIAL GENERAL LIABILITY
OOGLP1004993
10/01/00 10/01/01 � FIRE DAMAGE (My one tire) S 50,000
CLAIMS MADE F_x1 OCCUR
I MED EXP (Any one person) S 5,000
X GL Ded. $5,000
I PERSONAL&ADV INJURY $1,000,000
X X, C, U Included
I GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
I PRODUCTS - COMP/OP AGG $1,000,000
POLICY LOC
I I ECT
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT S1,000,000
B
X ANY AUTO
ACP7800621590
10/01/00 10/01/01 (Ea accident)
ALL OWNED AUTOS
BODILY INJURY S
SCHEDULED AUTOS
(Per person)
X HIREDAUTOS
BODILY INJURY S
X NON -OWNED AUTOS
(Per accident)
X Ded. $1000 APD
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
I AUTO ONLY - EA ACCIDENT I $
ANY AUTO
EA ACC I S
OTHER THAN
AUTO ONLY: AGG I S
EXCESS LIABILITY
I EACH OCCURRENCE 1$10,000,000
C
X i OCCUR FICLAIMSMADE
BE7403562
10/01/00 10/01/01 AGGREGATE $10,000,000
DEDUCTIBLE
I $
I $
X RETENTION $ None
$
WORKERS COMPENSATION ANDWCS
X I ORYILIMITS I IOER
E
EMPLOYERS'LIABILITY
315129300
10/01/00 10/01/01 E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE - EA EMPLOYEE $1,000,000
E.L. DISEASE -POLICY LIMIT $1,000,000
OTHER
i
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Operations of the Named Insured for the Certificate Holder.
Job: Street Resurfacing 2000/2001 Project #006-4069-642-8000 &
Project #006-4069-721-8000 GBI #01422 **See Addendum Attached
*Ten day notice would be sent on non payment.
30*XCG201011/85LF
CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SANRAF4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of San Rafael, its
Officers, Agents & Employees
Dept. of Public Works
P.O. Box 151560
San Rafael, CA 94915
I
ACORD 25-S (7/97)
DATE THEREOF, THE ISSUING INSURER WILtENBEAVOR TO MAIL 3 0 * DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BW FA+WRE:Fe Be 69 61 IA611:
OF ANY KINIII V:"7.17/.:: I:I!►NtT, i/ .Y9ll�
AUT PRESENT�Y�'J
� �"� aA/Np� 0 ORATION 1988
A'!�� P/'1L1� HOLDERGIIDF SANRAF4 GHIT,Q-1 PAGE 2
a Ll INSURED'$ N, Cyhilotti Bros Inc. CSR SII DATE, 08/28/01
It is hereby understood and agreed that the City of San Rafael, its
officers, agents and employees are additional insured hereunder but only
as respects liability arising out of the land and/or property and/or work
described in the Public Works contract for the project entitled, Street
Resurfacing 2000/2001 between the City of San Rafael and Ghilotti Bros.,
Inc.,for the work and improvements described therein.
Policy Number: OOGLP1004993
Commercial General Liability
THIS ENDORSEMENT CHANGES THE POLICY - PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization
City of San Rafael,
Its officers, agents & employees
Dept. of Public Works
P.O. Box 151560
San Rafael, CA 94915
Job: Street Resurfacing 2000/2001 Project #006-4069-642-8000 & #006-4069-721-8000
GBI #01422
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
WHO IS AN INSURED (Section Il) is amended to include as an insured the person or organization shown in the Schedule,
but only with respect to liability arising out of "your work" for that insured by or for you.
The insurance provided herein is primary coverage to the certificate holder with respects to any insurance or self insurance
programs maintained by the certificate holder, and no insurance held or owned by the certificate holder shall be called
upon to contribute to a loss.
The inclusion of more than one insured shall not operate to impair the rights of one insured against another insured and
the coverage afforded shall apply as though separate policies had been issued to each insured, but the inclusion of more
than one insured shall not operate to increase the limits of the Company's Liability.
CG 20 10 11 85 Copyright Insurance Services Office, Inc. 1984